Document Detail

Pseudomonas osteomyelitis of the metatarsal sesamoid bones.
MedLine Citation:
PMID:  9181197     Owner:  NLM     Status:  MEDLINE    
It is unusual for osteomyelitis of the sesamoid bones to occur after a puncture wound to the foot. When the puncture occurs through tennis shoes, the risk of Pseudomonas infection is increased. Pseudomonas was the causative organism in 7 of 22 cases reported in the literature. This report will explore the causes and natural history, as well as the treatment, of these infections. Initially, basic wound care principles should be adhered to when treating these wounds. Patient awareness and close follow-up is important to ensure complete healing. Treatment of this case involved intravenous antibiotics and medial sesamoidectomy. Foot deformities can occur with sesamoid osteomyelitis and sesamoid excision. Hallux valgus deformity was noted to occur with the osteomyelitis and worsen with sesamoid excision. Preservation of surrounding structures during excision is important to prevent deformity.
K A Rahn; F S Jacobson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of orthopedics (Belle Mead, N.J.)     Volume:  26     ISSN:  1078-4519     ISO Abbreviation:  Am J. Orthop.     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-07-15     Completed Date:  1997-07-15     Revised Date:  2010-01-05    
Medline Journal Info:
Nlm Unique ID:  9502918     Medline TA:  Am J Orthop (Belle Mead NJ)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  365-7     Citation Subset:  IM    
Fort Wayne Orthopaedics, Indiana, USA.
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MeSH Terms
Anti-Bacterial Agents
Drug Therapy, Combination / therapeutic use
Osteomyelitis / drug therapy,  etiology*,  surgery
Pseudomonas Infections / drug therapy,  etiology*,  surgery
Sesamoid Bones* / surgery
Wounds, Penetrating / complications
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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